Total 280 job vacancies by NHS Jobs

For more information, please request a copy of the full job description from sarah.melder@practiceplusgroup.com

The post holder will provide specialist clinical physiology knowledge within respiratory and sleep and will ensure best principles of care are provided to patients at Medway Maritime Hospital and two new Community Diagnostic Centres. The successful candidate must be able to work flexibly and the expectation is that they will be required to work day and night shifts depending on demand. This will also include working across our multiple sites. Additional training will be provided in each area as required. Undertake and perform a range of basic to complex respiratory investigations, such as Full lung function testing (Spirometry, static lung volumes and gas transfer), Bronchodilator reversibility testing, FENO, 6 Minute walk test etc. Including providing a full technical analysis and report of results for medical staff, contributing to the diagnosis and treatment of these patients. To independently perform a range of routine, non-routine, and more complex sleep investigations, contributing to the diagnosis and treatment of patients with sleep disorders including Overnight Oximetry, Actigraphy, Limited Polysomnograhy and Overnight Polysomnography Studies with MSLT as necessary. Independent full interpretation and analysis is expexted (scoring). To recommend patients on use of CPAP, set-up CPAP therapy and manage follow up consultations in patients with OSA and OHS. This will be in the form of New Patient and Annual Review Clinics Monitor patients who are undergoing an overnight polysomnography study. Ensure that the recordings produced during the study are of sufficient quality to be analysed accurately, and if necessary make adjustments to the equipment attached to the patient during the study. Make judgements on the severity of results, ensuring medical staff are informed immediately of any life threatening or urgent investigation results. Ensure that all the correct procedures for dealing with urgent and non-urgent results are adhered to. Take responsibility for the cleaning of all sleep equipment and ensuring it is kept in working order, liaise with EME reporting and faults and problems promptly. To assess investigation requests, checking there are no contraindications or risks, and to assess patients regarding their fitness to perform the tests.

To work with key stakeholders to identify and assess specification and volume of goods and services as required, for whole life of contract Negotiation of contractual issues using high level of knowledge of relevant regulations. Analysis specification and requirements to determine best route to market and compliant contract award of purchasing options to determine chosen suppliers. Considering current procurement rules and guidelines. To undertake reviews of expenditure and purchasing activity across the Trust and identify potential areas to improve or obtain VFM on goods and services. Manage the Procurement work plan to deliver services on time, in accordance with capital schemes. To undertake research of the marketplace and offer advice to internal customers on possible alternative supply options. To review the requirement and identify the most appropriate contracting strategy to ensure VFM and compliance with Trust SFIs and Public Procurement Regulations and to lead and advise clinicians, managers and customers through the appropriate procedure. To draft contract and tender documentation with associated terms and conditions in accordance with relevant policies/procedures. To effectively plan, prioritise and manage own workload to meet departmental objectives and ensure procurement workplan is continuously reviewed and updated. To provide professional procurement support and advice to internal customers in connection with their purchasing and contracting needs. To maintain accurate records of all contracting activity in accordance with best practice, statutory and audit requirements. To maintain a detailed understanding of Trust SFIs, Public Procurement Regulations, other relevant legislation and purchasing policies and procedures and pro-actively attend training and development opportunities to maintain knowledge.

Medway Imaging Department is well equipped with 2 x CT Toshiba machines (1 x 64 slice & 1 x 126 slice), 2 MRI machines (1xGE 3T HDXT & 1x1.5 T Siemens Magnetom Aera), An Ultrasound Suite consisting of 5 Toshiba Ultrasound systems, 3 Fluoroscopy Suites and 2 Interventional Suites. The successful candidate would join a progressive department led by young and dynamic Consultant colleagues. Applicants must hold a Radiology degree (ideally FRCR or equivalent) with broad training in Radiology. Please ensure you provide the names, addresses and e-mail contacts of three clinical referees and the Director of HR or Medical Staffing Manager. At least one of your referees should be your current or most recent employer. Please note, if you are considering applying for a role within the NHS it is important to be are aware that there will be a legal requirement for employees to be fully vaccinated against Covid-19 by the 1st April 2022. This is applicable for all patient facing roles and roles within patient facing areas.

Ambulatory Gynaecology consists of clinics in area 7. The succesful candidate will be assisting in the Early Pregnancy Assesment clinic, Colposcopy, rapid access, minor procedures, nurse smear, urogynaecology and the Gynaecology Asseament Unit. The clinical support worker works within the team in all the areas following a full training package. We are recruiting for a Band 2 Clinical Support Worker to work in our team within Ambulatory Gynaecology department, who shares our ambition and vision to deliver the Best of Care by the Best People and has the drive to take us forward, by ensuring that the Trust continues to be the first choice for patients and our staff.

Our Emergency Departments requires a finely tuned infrastructure to ensure patients receive the investigations they require at the earliest possible opportunity. Many of these technical roles are undertaken by our supporting workforce, including: ECG recording, IV cannulation and phlebotomy, Bladder scanning, Recording Vital Signs, National Early Warning Scores and neurological observations. In addition key infrastructural functions such as:Completing checklists,Checking equipment and replacing vital stock,Supporting staff play a major role in the provision of expert care and quality initiatives withinED.

Medway Maternity Services support approximately 5,000 women and babies per annum. We are forward thinking with motivated midwives, obstetricians and support teams, who strive to improve the quality of the service that we offer to our women, their babies and their families. We have achieved and sustained Baby Friendly Initiative Stage 3; won national awards including the RCM Team of the year in 2019 and provide a variety of professional development opportunities for all levels of staff.

To perform with training a range of basic, but non-routine sleep investigations, contributing to the diagnosis and treatment of sleep apnoea patients. This will include the initiation and downloading data from sleep studies devices. Issuing and explaining the connection of sleep studies to patients. To be responsible for the accurate entry of patient records and reports on to the department database. Arranging replacement consumables for CPAP patients. Performing weekly stock checks for CPAP and sleep consumables. To support the sleep physiologist onleading the overnight polysomnography tests which includes hook up and monitoring of the patient. This test is performed in hospital overnight and therefore night shifts are required for this post. To understand and assist with department audit, technical evaluation and research projects as required. To assist the senior staff with the implementation of new policies and procedures as required. To assist the senior staff with monitoring and ordering of departmental supplies. To assist in the achievement of quality projects. To participate in individual performance review. To complete mandatory training. Please note, if you are considering applying for a role within our organisation we do recommend that staff are fully vaccinated against Covid-19, this is no longer a mandatory requirement.

Working in Jade Ward is an exciting and fulfilling prospect that can broaden your experience, skills and competencies as a RGN. We cater to the needs of patients with complex endocrine needs such as Diabetes Mellitus (type 1 and 2), SIADH, Hypo and hyperthyroidism, etc. The ward offers varied opportunities to learn and progress your career through managing complex medical needs, learning specialize skills and competencies to facilitate safe patient care and contribute to the overall smooth operation of the ward. Furthermore, the ward also deals with varied medical patients related to endocrine conditions hence, giving the successful applicants the opportunities to work in a highly productive and result driven ward.

The post holder will work with the clinical pharmacy team under the guidance and supervision of the clinical pharmacy technicians and clinical pharmacists in providing a Clinical Pharmacy Service in a ward environment. You will assist in the day to day operations of a ward pharmacy team ensuring an efficient and effective service is provided. This includes facilitation and re-use of the use of Patients Own drugs, one-stop dispensing, discharge planning and pod checking and dispensing eDNs at ward level. The role will involve being a practice supervisor in supporting trainee's at ward level.

Responsible for carrying out clinical practice within designated clinical areas, ensuring that high quality, current evidence-based nursing assessment, care planning, implementation, interventions and evaluations for patients is provided from admission through to discharge Will be responsible for the application of knowledge across the range of work procedures and practices, underpinned by theoretical knowledge and practical experience To act as advocate for patients within the area, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines To ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals Will advise on the promotion of health and the prevention of illness Recognise the significance of observations made, and use them to develop and initiate nursing assessments and devise a plan of care Carry out those activities necessary to conduct a comprehensive assessment of a persons nursing requirements Will ensure that all patients will have a discharge plan that is safe and appropriate for their needs Carry out nursing procedures and treatments, checking on and maintaining the highest possible standards Work alongside the multi-disciplinary team to ascertain treatments and advise on nursing priorities Take a clear and concise history from patients by assessing their health and wellbeing and complete documentation ensuring that all entries are accurate and legible and that all information systems are maintained Undertake prescribed physical observations as follows: blood pressure, temperature, respirations, blood sugars, urinalysis, weight and height, and report exceptions appropriately To be responsible for the correct administration of prescribed medication Professional Responsibilities Is wholly accountable for his / her practice in line with the NMC Code and takes every reasonable opportunity to sustain and improve his / her knowledge and professional competence Will act in accordance with Local, Hospital and Statutory Guidelines and Policies including Health and Safety initiatives Will be familiar with the Health and Safety at Works Act, and be aware of its implications, ensuring that local unit and departmental policies are followed Will work in accordance with Corporate Objectives Will actively participate in his / her annual appraisal and ongoing review, including compilation of a personal and professional portfolio to support professional revalidation Will maintain a high standard of care and give courteous reception to all patients and visitors Will adopt a patient oriented approach to work Will practice in a cost effective and cost aware manner Will ensure that the Hospitals policy is understood and carried out with regard to the care and custody of drugs / medications, especially with regard to those covered by the Control of Drugs Act Will be familiar with the wards fire, manual handling and C.O.S.H.H. policies and ensure that all nurses in the ward are aware of the policies Will be fully conversant with the Trust major incident plan, and ensure that all nurses on the ward / department understand the procedure Take all possible precautions to safeguard the welfare and safety of staff, service users, visitors and the public, by implementing all policies related to health, safety, security and risk Communication Will be responsible for the provision and receipt of complex, sensitive or contentious information related to patients, patient care, relatives, staff and other multidisciplinary colleagues Provides highly specialised advice concerning the care or treatment of identified groups or categories of patients / clients Communicate effectively and efficiently with all members of the multi-disciplinary team regarding patient care Will communicate with patients and relatives, making reports and liaising, as appropriate; with medical staff and other members of the care team and management Will give and receive day / night reports Acting as team leader / member / coordinator as necessary Report to the Doctor / Senior Sister / Charge Nurse and members of the multidisciplinary team on patients condition, both verbally and in writing as necessary Liaise with inter-hospital departments / personnel Attend and participate in ward meetings and help promote new ideas and methods and assist in their implementation Attend and participate in multi-disciplinary team meetings and case conferences to benefit patient care Education and Professional Development Act as a role model giving guidance, counselling and support to unqualified and qualified staff and students Actively contribute to the teaching programme within the ward Act as a mentor and introduce new staff members to their role within the team Act as a preceptor for newly qualified members of staff Act as mentor / assessor to unqualified staff Assist in producing written reports concerning the basic learner nurse in the clinical setting as required by the universities Take every opportunity to maintain and improve own knowledge and competence and take steps to keep up to date with clinical and nursing developments

To assist the qualified staff in providing perioperative care to patients by undertaking a range of support duties, working under the direction and supervision of the qualified theatre practitioner. To ensure patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines To act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care Provides support and assistance to professionals in the implementation of plans of care for individual patients To act as a circulating person in theatre, undertaking essential tasks within the theatre team such as the WHO checklist, surgical counts, data input, specimen retrieval and labelling, cleaning and patient transfers Provide reassurance and support to patients, carers and family Maintains patient privacy, dignity and respect to patients at all times Demonstrates compassion by recognising and responding to individual needs in a warm, thoughtful, sensitive and helpful way To respond to patient requests for non-clinical information to improve communication Establish and maintain communication with people on routine and operational matters

The qualified Associate Practitioner (AP) has knowledge and skills to work at a higher competency level than that of other CSWs. The AP has responsibility for actively participating in and ensuring the maintenance of protocol based clinical care. The AP will work as part of the multidisciplinary team (MDT) within the ED and provide a seamless service to patients with proximal supervision from registered practitioners, within agreed protocols and with clearly defined lines of accountability for delegated work. The AP will provide general and specific care encompassing the skills of assessment, examination, initial planning and evaluation of care to patients to a high standard and competency . The AP will work within all areas of the ED. The post holder will work in support of registered nurses, doctors and allied health professionals. APs will support training and undertake informal teaching, and act as supervisor and mentor to CSWs and students. The role is flexible and adaptable to the changing needs of the ED system.

To support and assist the OH team to deliver the workload in an effective manner. Represent the department at Trust and other agency forums deputising for the OH Clinical Service Lead. Actively take part in and support Directorate initiatives and issues. Use clinical skills and knowledge to provide specialist advice and support to peer group staff, clients and service managers. Provide professional advice and guidance to nursing and non-nursing staff, within the nursing environment and foster collaborative partnerships with other disciplines. Lead in the development of clinical standards ensuring these are set, embedded and monitored in accordance with the needs of the service in conjunction with the senior OH team. Monitor agreed quality improvement metrics to support compliance with local and external practice standards e.g. NHS Plus, cold chain monitoring etc. Support the OH Clinical Service Lead / Service Coordinator in ensuring that workload is prioritised and managed effectively. Participate in audit and research programmes appropriate to the advancement of the service as required. Act and lead on designated areas for improvement. With senior staff, identify and minimise clinical and non-clinical risk issues reporting to the senior team. Implementation of action plans to address areas which fall below acceptable standards To always act in a professional manner in accordance with the NMC guidelines. Safe, efficient and effective administration of medicines in accordance with the NMC guidelines. Ensure accurate, legible nursing records are kept for each client in line with the NMC Code of Professional Conduct (2002) and Access to Medical Records Act 1988 and maintain the security of records within the Department to comply with Data Protection legislation.. Promote and maintain effective working relationships and communications with Consultants, medical staff, nurse colleagues and other multi-agency professionals. Ensure staff standard of dress and appearance promotes patient and public confidence in Infection Prevention and Control practice for department. To support the OH Clinical Service Lead / Service Coordinator to achieve a department culture of cleanliness and compliance with best practice in Infection Prevention and Control, promoting zero tolerance to avoidable infection. Plan & initiate appropriate vaccination programmes, including re-call and contact tracing, in line with guidance from the Department of Health to ensure employees are protected against certain infections they may be exposed to in the course of their work Provision of vaccinations in accordance with standing orders and Trust policy, and the DoH Green Book. Initiate appropriate investigations by taking blood samples for immunity to blood borne viruses e.g. hepatitis B, hepatitis C, HIV after giving appropriate counselling on effects of results. Initiate appropriate investigations by taking blood for immunity to other infectious diseases e.g. Rubella, Varicella Zoster, measles and others as required by Department of Health guidance. To provide support, guidance and appropriate follow-up after inoculation/contamination incident. Implement follow up procedures for investigating, advising and monitoring staff accidents/incidents when notified by injured party/receipt of DATIX Form. Provide a confidential advisory and support service with referral to appropriate counselling and mental health support agencies. To provide guidance to staff and managers following managerial referral from a medical perspective, in an unbiased and professional manor. Ensure appropriate advice (within the remit of confidentiality) is given following referral. Conduct health surveillance programmes of staff in line with legislation e.g. C.O.S.H.H. in accordance with Health & Safety Department requirements. Organise daily work planning to reflect:- clinical demand, maximise appointment availability. Establish and implement with OH clinical service lead and other OH staff, health education and promotion programmes. Participate in Occupational Health audits and research programmes. Provide Occupational Health services in accordance with agreed contracts to non-NHS organisations. Implement service changes following adverse incidents/root cause analysis. Participate in Outbreak TB tracing meetings as required where staff surveillance and safety is involved. Act as the clients advocate and ensure the advocacy role is understood by all staff. Participate in gaining and responding to client feedback. Ensure Occupational Health services meet the requirements of clinical governance, Health & Safety Executive, CQC, and NICE guidance. Working collaboratively with The Infection Control and Prevention Team, Health & Safety Department (including manual handling), Wellbeing Team, TB specialist Service, Emergency Department (out of office hours Sharp/Splash injuries), HR services. To ensure service delivery meets the department KPIs. To assist in the development of services to reflect known requirements and needs of the Trust. To be aware of current developments in Occupational Health and attend relevant courses, conferences and other training opportunities in consultation with the OH Clinical Service Lead. Ensure you meet NMC revalidation requirements. Ensure an effective learning environment for all staff. Participate in the development and delivery of appropriate training materials / programmes to promote professional development. Contribute to the clinical supervision and support process and facilitate the development of reflective practice. Ensure adherence to the Clinical Governance Framework for nursing by ensuring appropriate policies, protocols and guidelines are in place to support practice Report, investigate and act upon complaints and Adverse Incidents in line with directorate and Trust policies, collating themes and identification of learning points for the department and service users. Undertake workplace assessments, promote health and safety in the work environment. To identify own personal development needs and maintain the knowledge and skills necessary to perform role effectively To participate in an annual appraisal with relevant reviews and to follow personal development plan as agreed with line manager To keep updated of current professional issues and maintain the knowledge and skills necessary to perform your role effectively. Develop and maintain a professional portfolio. Ensure compliance with professional expectations as outlined in the NMC Code of Professional Conduct.

Provide specialist Rheumatology care and management of patients in Rheumatology. Assess, plan and deliver care plans for patients. Perform clinical assessment, diagnoses and treatments with guidance from senior clinicians. Collaborate with multidisciplinary teams to deliver coordinated care. Respond to emergencies and participate in on-call duties as required. Ensure all patient records are accurate and up to date.